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ARTICULAR CARTILAGE. Avascular, alymphatic hyaline cartilageResist compressive forces by deforming but recover on removal of loadComposed of a. Chondrocytesb. Intercellular matrix (Collagen, Proteoglycans, and Water). ChondrocytesSynthesize matrix components (e.g. collagen and Pro
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1. PATHOLOGY OF OSTEOARTHRITIS F. ALHILLI
Department of Pathology, AGU
2. ARTICULAR CARTILAGE Avascular, alymphatic hyaline cartilage
Resist compressive forces by deforming but recover on removal of load
Composed of
a. Chondrocytes
b. Intercellular matrix (Collagen, Proteoglycans, and Water)
3. Chondrocytes
Synthesize matrix components (e.g. collagen and Proteoglycans)
Synthesize enzymes (e.g. collagenase)
Capable of phagocytosis
Collagen
85-95% Type I Collagen
Type V and IX also present
Other proteins present include chondronectin, anchorin
Arrangements of collagen fibers
Proteoglycans
Link proteins, hyaluronic acid and glycosaminoglycans
Bind large amount of water
5. Osteoarthritris Chronic progressive degenerative destructive degradation of the articular cartilage of weight bearing joints leading to joint narrowing, subchondral bone thickening and eventually nonfunctioning painful joint
The disease is primarily not an inflammatory lesion, but (reactive) infiltration by lymphocytes and plasma cells is present and minimal
6. AETIOLOGY and PATHOGENESIS OF OSTEOARTHRITIS Primary Osteoarthritis
Secondary Osteoarthritis